Organization
UNIVERSITY AT BUFFALO
Active
Organization
UNIVERSITY AT BUFFALO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA A PRISTACH M.D. (PROGRAM DIRECTOR)
(716) 898-4221
Entity
Organization
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 898-4221
Mailing address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 898-4221
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Enumeration date
10/16/2008
Last updated
10/19/2008
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